Healthcare Provider Details

I. General information

NPI: 1922337641
Provider Name (Legal Business Name): UNIVERSITY OF SAN FRANCISCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2009
Last Update Date: 12/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 PARNASSUS AVE BOX 1207 STE 905
SAN FRANCISCO CA
94143-0001
US

IV. Provider business mailing address

350 PARNASSUS AVE BOX 1207 STE 905
SAN FRANCISCO CA
94143-0001
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-1451
  • Fax: 415-476-4800
Mailing address:
  • Phone: 415-476-1451
  • Fax: 415-476-4800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number110065
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number110065
License Number StateCA

VIII. Authorized Official

Name: MS. JANE CZECH
Title or Position: DIRECTOR OF ADMINISTRATION
Credential:
Phone: 415-476-3877